Hometown East Silver 4000 Tribal 0
Blue Cross of Idaho · 2026 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $0
- Family OOP max
- $0
Other cost-sharing reduction variants for this plan:
More Blue Cross of Idaho plans in ID
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | No charge |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | No charge |
Hospital
| Benefit | In-network |
|---|---|
| Outpatient Surgery Physician/Surgical Services | No charge |
| Urgent Care Centers or Facilities | No charge |
| Emergency Room Services | No charge |
| Inpatient Hospital Services (e.g., Hospital Stay) | No charge |
Pharmacy
| Benefit | In-network |
|---|---|
| Preferred Brand Drugs | No charge |
| Specialty Drugs | No charge |
| Generic Drugs | No charge |
| Non-Preferred Brand Drugs | No charge |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | No charge |
| Mental/Behavioral Health Outpatient Services | No charge |
Other
| Benefit | In-network |
|---|---|
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No charge |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | No charge |
| Outpatient Rehabilitation Services | No charge |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | No charge |
| Radiation | No charge |
| Reconstructive Surgery | No charge |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | No charge |
| Rehabilitative Speech Therapy | No charge |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | No charge |
| Substance Abuse Disorder Inpatient Services | No charge |
| Substance Abuse Disorder Outpatient Services | No charge |
| Transplant | No charge |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | No charge |
| Nutritional Counseling | No charge |
| Accidental Dental | No charge |
| Allergy Testing | No charge |
| Chemotherapy | No charge |
| Chiropractic Care | No charge |
| Delivery and All Inpatient Services for Maternity Care | No charge |
| Diabetes Education | No charge |
| Dialysis | No charge |
| Durable Medical Equipment | No charge |
| Emergency Transportation/Ambulance | No charge |
| Eye Glasses for Children | No charge |
| Habilitation Services | No charge |
| Hearing Aids | No charge |
| Home Health Care Services | No charge |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | No charge |
| Infusion Therapy | No charge |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | No charge |
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